Pharm Final
A nurse is providing discharge teaching to a client who had a kidney transplant and has a prescription for oral cyclosporine. Which of the following statements by the client indicates an understanding of the teaching? "I will be able to stop taking this medication within 6 months after my surgery." "I am likely to develop higher blood pressure while taking this medication." "I am likely to lose my hair while taking this medication." "I am taking this medication to boost my immune system."
"I am likely to develop higher blood pressure while taking this medication."
A nurse is monitoring a client who received diphenoxylate-atropine. Which of the following statements by the client should indicate to the nurse that the medication has been effective? "I feel a little drowsy with this medication." "I am now drinking much more water." "I have not had a bowel movement today." "I no longer feel chest tightness."
"I have not had a bowel movement today."
A nurse is teaching a client about the adverse effects of omeprazole. Which of the following client statements indicates an understanding of the teaching? "If I experience severe diarrhea, I will call my doctor." "Pneumonia is associated with long-term use of this medication." "I will need to take this medication with food." "I should take vitamin B12 while using this medication."
"If I experience severe diarrhea, I will call my doctor."
A nurse is teaching a client who has type 2 diabetes mellitus about a prescription for insulin lispro. Which of the following statements should the nurse include in the teaching? "The effects of the insulin lispro can last for 8 to 12 hours." "Administer insulin lispro 30 to 60 minutes before eating." "Insulin lispro has an onset of about 15 minutes." "This insulin can be given as a continuous intravenous bolus."
"Insulin lispro has an onset of about 15 minutes."
A nurse is preparing to administer warfarin to a client who has a new onset of atrial fibrillation. The client asks the nurse, "What should this medication..." Which of the following responses should the nurse make? "It helps your heart return to a normal rhythm." "It dissolves blood clots." "It can reduce your risk of having a stroke." "It helps to prevent bleeding in atrial fibrillation."
"It can reduce your risk of having a stroke."
A nurse is caring for a client who is taking diphenhydramine for allergies. The client reports, "I feel sleepy during the day. Which of the following responses should the nurse make? "You will find that all antihistamines cause sedation." "You should avoid taking the antihistamine with food." "The effects of sedation will occur with each dose." "You should try antihistamines with non-sedative effects."
"You should try antihistamines with non-sedative effects."
A nurse is planning care for a client who is postoperative and scheduled to ambulate. At which of the following times should the nurse plan to administer PO morphine to the client for peak analgesic effect during the ambulation? 3 to 4 hr before ambulation 10 to 15 min prior to ambulation 60 to 90 min prior to ambulation Immediately before ambulation
60 to 90 min prior to ambulation
A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older adult client who has Paget's disease of the bone. Which of the following actions should be the nurse's priority? Administer the medication to the client before breakfast in the morning Ambulate the client to a chair prior to administering the medication Give the medication to the client with water rather than milk Teach the client how to take the medication at home
Ambulate the client to a chair prior to administering the medication
A nurse is preparing to administer nitroglycerin topical ointment to a client who has angina. Which of the following actions should the nurse take? Cover the applied ointment with cotton gauze Apply the ointment using a dose-measuring applicator Apply the ointment using the index finger Massage the ointment into the client's skin
Apply the ointment using a dose-measuring applicator
A nurse working in the emergency department is admitting a client who has a gastric ulcer and gastrointestinal (GI) bleeding. Which of the following factors in the client's medical history should the nurse report to the provider? Arthritis treated with ibuprofen every 8 hours as needed Previous tobacco smoking with cessation 5 years ago Negative H. pylori breath test 1 year prior Prescribed bismuth subsalicylate as needed for Gl upset
Arthritis treated with ibuprofen every 8 hours as needed
A nurse is caring for a client who has a positive tuberculin skin test and is beginning a prescription for isoniazid. Which of the following laboratory values should be monitored while the client is taking isoniazid? Thyroid Stimulating Hormone level (TSH) Aspartate aminotransferase (AST) Potassium (Sodium
Aspartate aminotransferase (AST)
A nurse is caring for a client who has been taking taken metformin for 6 months. Which of the following findings should the nurse identify as an expected therapeutic effect of the medication? Decreased vitamin B12 levels Decreased blood glucose level Abdominal bloating and diarrhea Decreased LDL level
Decreased blood glucose level
nurse is assisting with a client's laceration repair in which the provider will use both lidocaine and epinephrine. The nurse should inform the client that the epinephrine will perform which of the following actions? Act as a catalyst for the anesthetic properties of lidocaine Delay systemic absorption of the anesthetic properties of lidocaine Open the blood vessels for rapid anesthesia from the lidocaine Prevent medication toxicity during the procedure
Delay systemic absorption of the anesthetic properties of lidocaine
A nurse is planning care for a client with thrombophlebitis who has a prescription to receive heparin via continuous IV infusion. Which of the following actions should the nurse include in the plan of care? Infuse the heparin using an electronic IV pump Administer vitamin K if the client has indications of hemorrhage Adjust the dosage of heparin based on the client's PT levels Inform the client that the heparin will dissolve the thrombus
Infuse the heparin using an electronic IV pump
A nurse is preparing a continuous IV infusion of erythromycin lactobionate for a client who has a Bordetella pertussis infection. Which of the following actions should the nurse take to minimize the risk of thrombophlebitis? Infuse the medication slowly Administer half the dosage Avoid diluting the solution Initiate intermittent dosing
Infuse the medication slowlt
A nurse is reviewing the medical record for a client who has a migraine and a prescription for sumatriptan. Which of the following factors in the client's medical history should the nurse identify as a contraindication to receiving sumatriptan? Renal impairment Ischemic heart disease Severe osteoporosis Cirrhosis
Ischemic heart disease
A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client has an increased thyroid-stimulating hormone (TSH) level and a decreased total T3 and T4 level. The nurse should anticipate a prescription for which of the following medications? Methimazole Somatropin Levothyroxine Propylthiouracil
Levothyroxine
A nurse is reviewing the medication administration record of a client who is receiving an opioid medication for pain. Which of the following prescriptions should the nurse clarify with the provider? Metoprolol Ondansetron Lorazepam Naloxone
Lorazepam
A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. The nurse should plan to monitor the client for which of the following adverse effects? Thrombophlebitis Hyperactive reflexes Muscle weakness Hypoglycemia
Muscle weakness
A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. The nurse should plan to monitor the client for which of the following adverse effects? Thrombophlebitis Hyperactive reflexes Muscle weakness Hypoglycemia
Muscle weakness
A nurse is providing teaching to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following adverse effects of metformin should the nurse instruct the client to watch for and report to the provider? Weight gain Myalgia Hypoglycemia Severe constipation
Myalgia
A nurse is admitting a client who has unstable angina. Which of the following medications should the nurse anticipate administering to the client? Epinephrine Nitroglycerin Lidocaine Atropine
Nitroglycerin
A nurse is caring for a client who has unstable angina. The nurse should anticipate a prescription from the provider for which of the following medications? Epinephrine Nitroglycerin Lidocaine Atropine
Nitroglycerin
A nurse is teaching a client who has persistent cancer pain about the adverse effects of opioids. Which of the following statements should the nurse include in the teaching? "Opioids do not relieve pain without causing severe adverse effects." "Physical dependence is not the same as addiction." "Tolerance typically means that the medication will no longer be effective." "The most common adverse effect is respiratory depression with prolonged use."
Physical dependence is not the same as addiction."
A nurse is caring for a client who received naloxone for a suspected opioid overdose. Which of the following findings should the nurse identify as an adverse effect of this medication? Report of pain Respiratory rate 8/min Report of numbness Report of abdominal cramping and diarrhea
Report of pain
A nurse is providing teaching to a newly licensed nurse about administering morphine via IV bolus to a client. Which of the following information should the nurse include in the teaching? Respiratory depression can occur 7 min after the morphine is administered The morphine will peak in 10 min Withhold the morphine if the client has a respiratory rate less than 16/min Administer the morphine over 2 min
Respiratory depression can occur 7 min after the morphine is administered
A home health nurse is visiting an older adult client who has Alzheimer's disease. His caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg 3 times per day, to the client for restlessness and anxiety over the past few days. For which of the following adverse effects should the nurse assess the client? Low-grade fever Sedation Diuresis Tonic-clonic seizures
Sedation
A nurse is teaching a client who has chronic stable angina pectoris and a prescription for sublingual nitroglycerin tablets. What sequence of instructions should the nurse tell the client to use if he experiences chest pain?
Stop activity Place a tablet under the tongue Wait 5 minutes Call 911 if the pain is not relieved
A nurse is providing teaching to a client who has a new prescription for sertraline. The client asks the nurse if he should continue to take St. John's wort for depression. Which of the following instructions should the nurse give the client? Take the medication and herbal supplement together. Stop taking the herbal supplement while taking the medication. Take the herbal supplement and the medication at least 2 hr apart. Take an antacid with both the herbal supplement and the medication.
Stop taking the herbal supplement while taking the medication.
A nurse is assessing a client who has hypothyroidism and takes levothyroxine. Which of the following findings indicates that the client is experiencing acute levothyroxine overdose? Bradycardia Cold intolerance Tremor Hypothermia
Tremor
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily. The client reports taking extra doses to promote weight loss. Which of the following findings should indicate to the nurse that the client is dehydrated? Urine specific gravity 1.035 Distended neck veins BUN 18 mg/dL Bounding radial pulses
Urine specific gravity 1.035
A nurse is preparing to administer 100 units of insulin glargine and 4 units of PH insulin subcutaneously to a client. Which of the following actions should the nurse plan to take? Verify with the provider about giving insulin glargine at 1700 Ensure the insulin glargine is a cloudy suspension Request a prescription for giving insulin glargine twice daily Use separate syringes for administering insulin glargine and NPH insulin
Use separate syringes for administering insulin glargine and NPH insulin
A nurse is providing teaching to a client with hypertension and type 1 diabetes mellitus who has a new prescription for metoprolol. Which of the following statements by the client indicates an understanding of the teaching? "I might have difficulty recognizing when my blood sugar is low." "I will have a lower risk of developing an infection while I take this medication." "I should be concerned about losing excess weight while I take this medication." "I could have more problems with high blood sugar while taking this medication."
"I might have difficulty recognizing when my blood sugar is low."
A nurse is providing discharge teaching to a client who has heart failure and a prescription for digoxin 0.125 mg PO daily and furosemide 20 mg PO daily. Which of the following statements by the client indicates an understanding of the teaching? "I know that blurred vision is expected to happen while I'm taking digoxin." "I will measure my urine output each day and document it in my diary." "I will skip a dose of my digoxin if my resting heart rate is below 72 beats per minute." "I will eat fruits and vegetables that have a high potassium content every day."
"I will eat fruits and vegetables that have a high potassium content every day."
A nurse is providing teaching for a client who has gout and a prescription for allopurinol. Which of the following statements by the client should indicate to the nurse that the teaching was effective? "I should start taking this medication at 800 mg daily." "I will have an increased risk for diabetes with this medication." "I will increase my fluids to at least 2 liters per day." "I should take this medication twice daily."
"I will increase my fluids to at least 2 liters per day."
A nurse is teaching a client who has osteoporosis and a new prescription for alendronate. Which of the following client statements indicates that the teaching was effective? "I should take the medication with a glass of orange juice." "I will allow the medication to dissolve in my mouth." "I will sit upright for 30 minutes after taking the medication." "I should take the medication right after eating breakfast."
"I will sit upright for 30 minutes after taking the medication."
A nurse is teaching a client about taking tetracycline PO. Which of the following statements should the nurse include in the teaching? "Take this medication on a full stomach." "Limit your consumption of dairy products while taking this medicine." "Take the medication with your regular iron supplement." "Take antacids if you have an upset stomach from using tetracycline."
"Limit your consumption of dairy products while taking this medicine."
A nurse is caring for a client who is receiving chlorpromazine to treat schizophrenia. Which of the following statements by the client should prompt the nurse to notify the provider immediately? "My last bowel movement was 2 days ago." "My tongue keeps moving like a worm." "I feel dizzy when I stand up too quickly." "I can't stop blinking when I'm in the sun."
"My tongue keeps moving like a worm."
A nurse is educating a client with urethritis who has a new prescription for oral erythromycin. Which of the following statements should the nurse include in the teaching? "Report persistent diarrhea to the provider." "Take this medication with a full glass of milk." "Some people who take erythromycin experience vision loss." "Antacids will reduce the extent of absorption of this medication."
"Report persistent diarrhea to the provider."
A nurse is teaching a client who has asthma and a prescription for a fluticasone dry powder inhaler (DPI). Which of the following instructions should the nurse include in the teaching? "This medication should be taken at the start of your symptoms." "Rinse your mouth after administering this medication." "Shake the canister prior to administering this medication." "This medication relaxes your airways to decrease your symptoms."
"Rinse your mouth after administering this medication."
A nurse is providing teaching to a client who has a new prescription for hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the followir instructions should the nurse include in the teaching? "Take hydrochlorothiazide as needed for edema." "Check your weight once each week." "Take hvdrochlorothiazide on an empty stomach." "Take hydrochlorothiazide in the morning."
"Take hydrochlorothiazide in the morning."
A nurse is teaching a client who is postmenopausal and has a prescription for alendronate. Which of the following statements should the nurse include in the teaching? "You can lie down 15 minutes after taking this medication." "Take this medication on an empty stomach." "Crush this medication to improve absorption." "Avoid taking antacids or supplements that contain calcium while taking this medication."
"Take this medication on an empty stomach."
A nurse is providing teaching to a client with a new diagnosis of heart failure who has a prescription for furosemide. Which of the following statements should the nurse include in the teaching? "You can take ibuprofen for headaches while taking this medication." "You may experience increased swelling in your lower extremities while taking this medication." "You should eat foods that are high in potassium while taking this medication." "You should take this medication at bedtime."
"You should eat foods that are high in potassium while taking this medication."
A nurse is providing discharge teaching to a client who had a bleeding duodenal ulcer and has been prescribed omeprazole. Which of the following statements should the nurse include in the teaching? "You will need to take this medication for the next 6 months. "Taking this medication will decrease your risk of acquiring pneumonia." "You should take this medication before breakfast every day." "Watch for the serious adverse effects of tachycardia and heart palpitations while taking this medication."
"You should take this medication before breakfast every day."
A nurse is teaching about taking donepezil with a client who was recently diagnosed with early Alzheimer's disease. Which of the following instructions should the nurse include in the teaching? "You should chew the medication thoroughly prior to swallowing." "You should take this medication late in the evening." "You should take this medication with food." "If you miss taking a dose for a day, take 2 doses the following day."
"You should take this medication late in the evening."
A nurse is teaching a client who has a new prescription for warfarin. Which of the following statements should the nurse identify as an indication that the client understands the instructions? "I'll use a safety razor to shave each day." "l'Il be sure to eat lots of spinach." "l'Il avoid contact sports like football." "I'Il take ibuprofen if I get a headache."
"l'Il avoid contact sports like football."
A nurse is caring for a client who receives gastrostomy tube feedings and insulin. The client is scheduled to receive a tube feeding at 0700. At which of the following times should the nurse plan to administer insulin lispro subcutaneously? 0600 0630 0645 0730
0645 (onset 15 min)
A nurse is caring for a client who has COPD and has been taking fluticasone via inhaler for many years. Which of the following findings should the nurse identify as an adverse effect of long-term use of this medication? Glomerular filtration rate (GFR) <60 Alanine aminotransferase (ALT) 82 units/L Anorexia and weakness Varicose veinsfn the lower extremities
Anorexia and weakness
A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects? Antiestrogenic Antimicrobial Androgenic Anti-inflammatory
Antiestrogenic
A nurse is caring for a client who has a dry nonproductive cough. Which of the following types of medication should the nurse recommend Expectorant Mucolytic Bronchodilator Antitussive
Antitussive
A nurse is monitoring a client who has asthma, takes albuterol, and recently started taking propranolol to treat a cardiovascular disorder. The client reports that the albuterol has been less effective. Which of the following factors should the nurse identify as a possible explanation for this change? Potentiative interaction Detrimental inhibitory interaction Increased adverse reaction Toxicity-reducing inhibitory interaction
Detrimental inhibitory interaction
A nurse is reviewing the laboratory reports of a client who has been taking warfarin for atrial fibrillation. Which of the following results should the nurse report to the provider immediately? PT 18 seconds Platelet count 160,000/mm^3 Hct 43% INR 5.5
INR 5.5
A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client has an increased thyroid stimulating hormone (TSH) level and a decreased total Ty and T4 level. The nurse should anticipate a prescription for which of the following medications? Methimazole Somatropin Levothyroxine Propylthiouracil
Levothyroxine
A nurse is caring for a client who reports crushing chest pain. The nurse reviews the client's ECG results and notes ST changes. Which of the following medications should the nurse administer? Simvastatin Furosemide Nitroglycerin Sildenafil
Nitroglycerin
A nurse is providing teaching to a client with asthma who has a new prescription for a short-acting beta-2 agonist (SABA) bronchodilator. Which of the following pieces of information should the nurse share? Ouesti The SABA will provide prolonged control of asthma attacks. SABAs are also available in an oral form. The SABA will have to be taken with an inhaled glucocorticoid. Notify the provider if the SABA is needed more than twice per week.
Notify the provider if the SABA is needed more than twice per week.
A nurse is caring for a client who was brought to the emergency department by friends after a reported heroin overdosed. Which of the following findings should the nurse expect to assess? Temperature 39.2°C (102.6°F) Respiratory rate 30/ min Pinpoint pupils Severe abdominal cramping
Pinpoint pupils
A nurse is assigned to care for several clients who are postoperative. The client taking which of the following medications is at risk of delayed wound healing? Nifedipine to treat hypertension Prednisone to treat persistent arthritis exacerbations Albuterol to treat asthma Chlorpromazine to treat schizophrenia
Prednisone to treat persistent arthritis exacerbations
A nurse is reviewing the medical record of a client. The medication administration record shows the client is taking clopidogrel. Which of the following events should the nurse expect in the client's medical history? Recent myocardial infarction History of hemorrhagic stroke Current outbreak of psoriasis History of hypertension
Recent MI
A nurse is reviewing the laboratory values for a client who is receiving a continuous IV heparin infusion and has an aPTT of 90 seconds. Which of the following actions should the nurse prepare to take? Administer vitamin K Reduce the infusion rate Give the client a low-dose aspirin Request an INR
Reduce the infusion rate
A nurse is reviewing the laboratory values of a client who is receiving a continuous IV heparin infusion and has an aPTT of 90 sec. Which of the following actions should the nurse prepare to take? Administer vitamin K Reduce the infusion rate Give the client a low-dose aspirin Request an INR
Reduce the infusion rate
A nurse is caring for a client with diabetic ketoacidosis who has a prescription for an intravenous infusion of insulin. The nurse should document that which of the following types of insulin was administered intravenously to treat ketoacidosis? Regular insulin Insulin lispro Insulin aspart Insulin glargine
Regular insulin
A nurse is caring for a client who has asthma and is prescribed a short-acting beta2-agonist. Which of the following should the nurse identify as the expected outcome of this medication? Reduces the frequency of attacks Reverses bronchospasm Prevents inflammation Decreases chronic manifestations
Reverses bronchospasm
A nurse is teaching self-administration of NPH insulin to a client who has type 2 diabetes mellitus. Which of the following instructions should the nurse include? Alternate injecting doses between the abdomen and the thigh Shake the vial before withdrawing the dosage Rotate injection sites within the same area Discard the vial if the insulin is cloudy
Rotate injection sites within the same area
A nurse is preparing a discharge teaching plan for a client who is scheduled to begin long-term oral prednisone for asthma. Which of the following instructions should the nurse include in the plan? Stop taking the medication if a rash occurs. Take the medication on an empty stomach to enhance absorption. Schedule the medication on alternate days to decrease adverse effects. Treat shortness of breath with an extra dose of the medication.
Schedule the medication on alternate days to decrease adverse effects.
A nurse is reviewing laboratory reports for a client who has Clostridium difficile infection and is receiving vancomycin. Which of the following results should the nurse report to the provider before administering the next dose? Hematocrit 46% Serum glucose 110 mg/dL Serum creatinine 2.5 mg/dL Serum potassium 4.8 mEg/L
Serum creatinine 2.5 mg/dL
A nurse is providing teaching to a client who has rhematoid arthritis and a prescription for long-term prednisone therapy. The nurse should instruct the client to monitor for which of the following adverse effects? Stress fractures Orthostatic hypotension Gingival ulcerations Weight loss
Stress fractures
A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. The nurse should recognize that candidiasis is a manifestation of which of the following adverse effects? Allergic response Superinfection Renal toxicity Hepatitoxicity
Superinfection
A nurse is assessing a client who has heart failure and is receiving digoxin. Which of the following findings should indicate to the nurse the client is experiencing digoxin toxicity? Suppression of dysrhythmias Increased atrioventricular (AV) conduction Visual disturbances Weight gain
Visual disturbances
A nurse is teaching about levodopa with a family member of a client who has Parkinson's disease. Which of the following pieces of information should the nurse include? "A full therapeutic response may take several months to happen." "The medication should be taken with high-protein foods." "A full therapeutic response might cause vivid dreams." "The medication is given at the onset of mild symptoms."
"A full therapeutic response may take several months to happen."
A nurse is caring for a client who is due to receive general anesthesia. The client asks the nurse, "What is the difference between an analgesic and anesthesia?" Which of the following statements should the nurse make? "Analgesics can cause a lack of sensation." "Anesthesia is specifically for eliminating pain perception." "Analgesics treat pain without causing sedation." "Anesthesia can cause loss of consciousness."
"Anesthesia can cause loss of consciousness."
A nurse is providing discharge teaching for a client who has a new prescription for metoprolol. Which of the following instructions should the nurse include? (Select all that apply.) "Do not stop taking this medication abruptly." "Take the medication right before bedtime." "Avoid exposure to sunlight." "Count your radial pulse daily." "Change positions slowly."
"Do not stop taking this medication abruptly." "Count your radial pulse daily." "Change positions slowly."
A nurse is teaching a client who has a new prescription for enteric-coated aspirin as stroke prophylaxis. The client asks the nurse why the provider prescribed an enteric-coated medication. Which of the following responses should the nurse give? "The enteric coating allows a lower dosage to be given." "Enteric-coated medications have better absorption in the body." "Enteric-coated medications cause less gastric irritation." "The enteric coating provides a steady release of the medication over time."
"Enteric-coated medications cause less gastric irritation."
A nurse is caring for a client who takes warfarin to treat chronic atrial fibrillation and has early manifestations of Alzheimer's disease. The client's partner asks the nurse if the client would benefit from taking ginkgo biloba. Which of the following responses should the nurse make? "Ginkgo biloba will likely interfere with the effectiveness of his other medications." "You should ask his provider if ginkgo biloba is safe." "Ginkgo biloba is most effective in the later stages of Alzheimer's disease." "People who have Alzheimer's disease should adhere to the medication regimen their provider prescribes."
"Ginkgo biloba will likely interfere with the effectiveness of his other medications."
A nurse is caring for a client with multiple sclerosis and neurogenic bladder who is receiving bethanechol. The nurse should identify that which of the following client statements indicates a therapeutic action of the medication? "My mouth seems very dry lately." "I've noticed my heart beating faster." "I am able to urinate more freely." "I've noticed I can take a deep breath more easily."
"I am able to urinate more freely."
A nurse is providing teaching about sodium phosphate to a client who has a new prescription for sodium phosphate. The client is scheduled for a colonoscopy and is currently taking furosemide for hypertension. Which of the following client statements should indicate to the nurse that the teaching has been effective? "I can take my water pill as prescribed." "I can experience an imbalance in my electrolytes from this medication." "I should drink 8 ounces of bowel cleanser every 10 minutes until I drink a total of 4 liters." "I can experience rebound constipation after using this medication."
"I can experience an imbalance in my electrolytes from this medication."
A nurse is teaching a client about the proper placement of a nitroglycerin patch. Which of the following statements by the client indicates an understanding of the teaching? "I'II apply the patch over areas of my body with little fatty tissue." "I can place the patch on any area of my body without hair." "I'll put the patch on the same site as the previous patch." "I have to apply the patch directly over my heart."
"I can place the patch on any area of my body without hair."
A nurse is providing teaching for a client who has a new prescription for nitroglycerin administered through a transdermal patch. Which of the following client statements indicates an understanding of the teaching? "I need to wear the patch continuously for it to be effective." "I will stop using the patch immediately if it gives me a headache." "I should change the patch whenever I have chest pain." "I need to rotate the location of my patch every few days."
"I need to rotate the location of my patch every few days."
A nurse is providing teaching to a client who has heart failure and is taking spironolactone. Which of the following statements by the client indicates an understanding of the teaching? "I will increase my intake of citrus fruits, bananas, and potatoes." "I will use salt substitutes on my food." "I will drink as much water as I can while taking this medication." "I will watch for increased breast tissue growth while taking this medication."
"I will watch for increased breast tissue growth while taking this medication."
A nurse is providing teaching to a client who is scheduled to start taking hydrochlorothiazide for hypertension. The nurse instructs the client to eat foods that are rich in potassium. Which of the following statements by the client indicates an understanding of the teaching? "This medication will not work unless I have enough potassium." "Potassium will increase the therapeutic effect of my blood pressure medication." "Potassium will lower my blood pressure." "This medication can cause a loss of potassium."
"This medication can cause a loss of potassium."
A nurse is providing teaching to a client who has a prescription for famotidine to treat a gastric ulcer. Which of the following statements should the nurse include in the teaching? "This medication is more effective when taken on an empty stomach." "You should take this medication with an antacid for pain control." "This medication is less effective for people who smoke." "You should expect to experience dizziness when taking this medication."
"This medication is less effective for people who smoke."
A nurse is teaching about the adverse effects of morphine with a client who has acute pain. Which of the following statements should the nurse include in the teaching? "You might notice that you see better in dim areas." "You should increase your fluid intake." "You should expect to have excessive urination." "You might experience difficulty sleeping."
"You should increase your fluid intake."
A nurse is providing teaching about antiretroviral medication therapy to a client who has a new diagnosis of AlDS. Which of the following statements should the nurse include in the teaching? "Your provider will prescribe a single antiretroviral medication at a time." "You should take antiretroviral medications on a routine schedule." "You should increase your intake of raw fruits and vegetables while taking antiretroviral medications." "Your provider will prescribe antiretroviral therapy to kill the HIV."
"You should take antiretroviral medications on a routine schedule."
A nurse is providing teaching to a client who has tuberculosis (TB) and a prescription for isoniazid. Which of the following instructions should the nurse include? "You'll need to take this medication for the rest of your life to prevent recurrence." "Your provider will monitor your thyroid function while you are taking this medication." "You should take this medication on an empty stomach." "You should take this medication with an antacid."
"You should take this medication on an empty stomach."
A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer? Ibuprofen Naproxen Aspirin Acetaminophen
Acetaminophen
A nurse administered an antibiotic 10 min ago to a client who is now reporting wheezing and swelling of the eyelids. Which of the following actions should the nurse perform first? Give oral corticosteroids Administer dopamine Give diphenhydramine IV Administer epinephrine subcutaneously
Administer epinephrine subcutaneously
A nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. Which of the following actions should the nurse take? Administer the medication into the client's abdomen Iniect the medication into a muscle Massage the site after administering the medication Use a 22-gauge needle to administer the medication
Administer the medication into the client's abdomen
A nurse is providing teaching to the parents of a school-age child with asthma about medications for bronchospasm. Which of the following inhaled medications should the nurse instruct the parents to use to relieve an acute asthma attack? Salmeterol Cromolyn Fluticasone Albuterol
Albuterol
A nurse is reviewing the medication history of a client who has mild intermittent asthma. The nurse should anticipate a prescription for which of the following inhalers for the client? Ipratropium Albuterol sulfate Tiotropium Budesonide
Albuterol sulfate
A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask-like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? Amantadine Bupropion Phenelzine Hydroxyzine
Amantadine
A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older adult client who has Paget's disease of the bone. Which of the following actions should be the nurse's priority? Administer the medication to the client before breakfast in the morning Ambulate the client to a chair prior to administering the medication Give the medication to the client with water rather than milk Teach the client how to take the medication at home
Ambulate the client to a chair prior to administering the medication
A nurse is assessing a client who is experiencing chest pain. Which of the following medications should the nurse expect to administer to suppress the aggregation of platelets? Nitroglycerin Aspirin Morphine Metoprolol
Aspirin
A nurse is caring for a client and realizes after administering the 0900 medications that she administered digoxin 0.25 mg PO to the client instead of the prescribed digoxin 0.125 mg PO. Which of the following actions should the nurse take first? Notify the provider Contact the nursing supervisor Assess the client's apical pulse Complete an incident report
Assess the client's apical pulse
A nurse is caring for a client who is taking an agonist medication. The nurse should expect which of the following actions from this type of medication? Acts with a partial agonist molecule to block receptors fully Temporarily occupies receptors instead of other competitive molecules Blocks receptors and prevents them from activating with a regulatory molecule Binds to receptors and mimics regulatory molecules
Binds to receptors and mimics regulatory molecules
A nurse is caring for a client who is receiving IV famotidine. Which of the following adverse effects should the nurse report to the provider immediately? Nausea Bloody stools Drowsiness Headache
Bloody stools
A nurse is caring for a client who is experiencing cycloplegia following the administration of atropine eye drops during an eye examination. Which of the following findings should the nurse expect as a result of cycloplegia? Inability to tolerate bright lights Pinpoint pupils Blurred vision Inability to perform an upward gaze
Blurred cision
A nurse is planning discharge teaching for a client who has major depressive disorder and a new prescription for phenelzine. Which of the following foods should the nurse include in the plan as safe for the client to consume while taking phenelzine? Broiled beef steak Macaroni and cheese Pepperoni pizza Smoked salmon
Broiled beef steak
A nurse is caring for a client who has congestive heart failure and is taking digoxin. The client reports nausea and refuses to eat breakfast. Which of the following actions should the nurse take first?Encourage the client to eat the toast on the breakfast tray Administer an antiemetic Inform the client's provider Check the client's apical pulse
Check the client's apical pulse
A nurse is providing teaching to a client who has hypothyroidism and is taking levothyroxine. The nurse should instruct the client that which of the following findings is an indication of thyrotoxicosis? Weight gain Constipation Chest pain Fatigue
Chest pain
A nurse is caring for a client who is receiving sumatriptan for cluster headaches. Which of the following findings should the nurse expect as an adverse effect? Hypotension Tinnitus Urinary retention Chest pressure
Chest pressure
A nurse is teaching an assistive personnel (AP) about dietary restrictions for a client who is taking phenelzine to treat depression. The AP's selection of which of the following foods for the client's lunch indicates an understanding of the teaching? Bologna on wheat bread Chicken salad Cheddar cheese and crackers Pizza with pepperoni
Chicken salad
A nurse is reviewing the medical record of a client who might have hearing loss. Which of the following data from the client's medical record should the nurse identify as a risk factor for hearing loss? Frequent use of steroids Chronic use of salicylates Intermittent use of antacids Habitual use of laxatives
Chronic use of salicylates
A nurse is preparing to administer an epinephrine IV bolus to a client. Which of the following should the nurse verify before initiating the IV medication? Concentration of the formulation Reversibility of the medication Potential barriers to absorption Gastric emptying time
Concentration of the formulation
A nurse is assessing a client who has AlDS and is taking zidovudine. Which of the following findings is the priority for the nurse to report to the provider? Nausea and vomiting Decreased hemoglobin Decreased appetite Anxiety
Decreased hemoglobin
A nurse is caring for a client who takes Ginkgo biloba daily at home. Which of the following effects should the nurse expect from the use of this herbal supplement? Decreased platelet aggregation Prevention of migraine headaches Increased risk of deep-vein thrombosis Lowered cholesterol and triglyceride levels
Decreased platelet aggregation
A nurse is reviewing the medical record of a client who is receiving hydrochlorothiazide (HCTZ). The nurse should expect to find an improvement in which of the following conditions as a result of this medication? Gouty arthritis Dehydration Diabetes insipidus Hypokalemia
Diabetes insipidus
A nurse is caring for a client who has acute glomerulonephritis and a prescription for furosemide. The nurse should monitor the client for which of the following therapeutic effects of this medication? Hypotension Diuresis Increased blood glucose level Weight gain
Diuresis
A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to discontinue taking the medication for which of the following adverse effects? Nausea Metallic taste Fever Drowsiness
Fever
A nurse is monitoring a client who has diabetes insipidus and was administered desmopressin. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect of this medication? Thirst Nocturia Headache Heart palpitations
Headache (water intoxication)
A nurse is caring for a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following findings should the nurse identify as an indication that the client requires intervention? Heart rate 106/min Dry skin Oral temperature 36.8°C (98.2°F) Lethargy
Heart rate 106/min
A nurse is preparing to administer digoxin to a client. Which of the following findings should the nurse identify as a contraindication to the client receiving this medication? Blood pressure 180/70 mmHg Oxygen saturation rate 94% Heart rate 51/min Respiratory rate 21/min
Heart rate 51/min
A nurse is preparing to administer a sublingual nitroglycerin tablet to a client who is reporting chest pain. For which of the following adverse effects should the nurse monitor after giving this medication? Hypotension Myalgia Diarrhea Ototoxicity
Hypotension
A nurse is caring for a client who is taking warfarin. Which of the following laboratory values should the nurse recognize as an effective response to the medication? Hct 45% Hgb 15 g/dL aPTT 35 seconds INR 3.0
INR 3.0
A nurse is teaching a client who had kidney transplant surgery about immunosuppressive medications. Which of the following adverse effects of these medications should the nurse include in the teaching? Increased urinary output Increased susceptibility to infection Increased hair loss Increased risk of autoimmune disorders
Increased susceptibility to infection
A nurse is monitoring a client with pneumonia who has received penicillin G intramuscularly (IM). Which of the following findings should the nurse plan to evaluate first? Pain at the injection site Prolonged motor dysfunction Laryngeal edema Temperature 37.6°C (99.7°F)
Laryngeal edema
A nurse is reviewing the medication administration record of a client who has impaired swallowing. The nurse should crush the medication when administering which of the following prescriptions?Aspirin EC 80 mg PO daily Levothyroxine 75 mcg PO q AM before breakfast Metformin XR 500 mg PO daily Nitroglycerin 0.3 mg SL PRN chest pain, may repeat q 5 min for 2 additional doses
Levothyroxine 75 mcg PO q AM before breakfast
A nurse is caring for a client who has been in the PACU for more than 1 hr, has a respiratory rate of 9/min, and is difficult to arouse. The nurse should expect a prescription for which of the following medications? Pentazocine Naloxone Naltrexone Butorphanol
Naloxone
A nurse is caring for a client who has schizophrenia and a prescription for chlorpromazine. For which of the following adverse effects should the nurse monitor? Orthostatic hypotension Diarrhea Urinary frequency Bradycardia
Orthostatic hypotension
A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following laboratory values should the nurse plan to monitor? (Select all that apply.) BUN PTT AST Urinalysis ALT
PTT AST ALT
A nurse is providing teaching to a client who has a new prescription for doxycycline. The nurse should instruct the client to monitor for which of the following adverse effects? Photosensitivity Constipation Ototoxicity Blurred vision
Photosensitivity
A nurse is caring for a client who is experiencing an acute asthma exacerbation. Which of the following medications should the nurse identify as being contraindicated for this client? Dextromethorphan Montelukast Ciprofloxacin Propranolol
Propranolol
A nurse is assessing a client who is receiving a continuous morphine IV infusion and finds the client's respiratory rate has decreased from 20/min to 12/min. Which of the following actions should the nurse take? Flush the IV line with saline Administer flumazenil Lower the head of the bed Slow the rate of the infusion
Slow the rate of the infusion
A nurse is providing teaching to a client who has rheumatoid arthritis and a prescription for long-term prednisone therapy. The nurse should instruct the client to monitor for which of the following adverse effects? Stress fractures Orthostatic hypotension Gingival ulcerations Weight loss
Stress fractures
A nurse is administering subcutaneous epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects? Hypotension Hyperthermia Hypoglycemia Tachycardia
Tacycardia
A nurse in a provider's office is providing teaching to a client with osteoporosis who has a new prescription for alendronate sodium. Which of the following pieces of information should the nurse include? Alendronate sodium can be administered by IV once yearly. Take alendronate sodium with a full glass of water on an empty stomach. Side effects of alendronate sodium include leukopenia. Alendronate sodium should be taken with calcium-containing foods to increase absorption
Take alendronate sodium with a full glass of water on an empty stomach.
A nurse is caring for a client who is experiencing acute pain and is receiving morphine. Which of the following findings should indicate to the nurse the need to withhold the client's next dose of morphine? The client reports an inability to void. The client's respiratory rate is 10/min. The client has hypoactive bowel sounds. The client has vomited once in the last 4 hours.
The client's respiratory rate is 10/min.
A nurse is preparing to administer levothyroxine to a client who has hypothyroidism. The nurse should identify which of the following laboratory results as supporting the administration of this medication? Thyroid-stimulating hormone (TSH) 8 microunits/mL Free triiodothyronine (T3) 300 pg/dL Free thyroxine (T4) 7 mcg/dL Thyroxine-binding globulin 2.3 mg/dL
Thyroid-stimulating hormone (TSH) 8 microunits/mL
A nurse is caring for a client who has heart failure and is taking oral furosemide 40 mg daily. For which of the following adverse effects should the client be taught to monitor and notify the provider if it occurs? Nasal congestion Tremors Tinnitus Frontal headache
Tinnitus
A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following should the nurse include in the teaching as an adverse effect of lisinopril? Tongue swelling Low potassium level Runny nose Bruising
Tongue swelling
A nurse in a community health clinic is assessing a new client who has prescriptions for isoniazid and rifampin. Which of the following disorders should the nurse expect the client to have? Tuberculosis Hypertension Diabetes Cirrhosis
Tuberculosis
A nurse is caring for a client who is developing acute pulmonary edema and has a new prescription for furosemide 40 mg IV bolus. The nurse should plan to administer the medication using which of the following methods? Undiluted administered over 2 min Diluted administered over 20 min Undiluted administered as rapidly as possible Diluted administered over 5 min
Undiluted administered over 2 min
A nurse is caring for a client who takes warfarin 2.5 mg PO daily and has an INR of 6.2. The nurse should anticipate a prescription from the provider for which of the following medications? Protamine sulfate Fondaparinux Vitamin K Bivalirudin
Vitamin K
